Expandable intervertebral implant

ABSTRACT

An expandable intervertebral implant, including an inferior component, including a first plate, a second plate connected to the first plate and including a first plurality of locking apertures, and a third plate connected to the first plate and including a second plurality of locking apertures, a superior component slidingly engaged with the inferior component, including, a fourth plate, a fifth plate connected to the fourth plate and including a third locking aperture, and a sixth plate connected to the fourth plate and including a fourth locking aperture, and a locking pin assembly arranged at least partially in the third and fourth locking apertures, and operatively arranged to engage the first and second pluralities of locking apertures to lock the inferior component to the superior component.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is filed under 35 U.S.C. § 120 as a continuation ofU.S. patent application Ser. No. 15/845,111, filed on Dec. 18, 2017,which application is hereby incorporated by reference in its entirety.

FIELD

The present disclosure relates to orthopedic surgery, and moreparticularly to an expandable intervertebral implant serving to improvealignment and spacing between vertebral elements of the spine.

BACKGROUND

The spinal column, or backbone, is one of the most important parts ofthe body. It provides the main support, allowing us to stand upright,bend, and twist. As shown in FIG. 1, thirty three (33) individual bonesinterlock with each other to form the spinal column. The vertebrae arenumbered and divided into regions. The cervical vertebrae C1-C7 form theneck, support the head and neck, and allow nodding and shaking of thehead. The thoracic vertebrae T1-T12 join with the ribs to form the ribcage. The five lumbar vertebrae L1-L5 carry most of the weight of theupper body and provide a stable center of gravity when a person moves.Five vertebrae of the sacrum S and four of the coccyx C are fused. Thiscomprises the back wall of the pelvis. Intervertebral discs are locatedbetween each of the mobile vertebra. Intervertebral discs comprise athick outer layer with a crisscrossing fibrous structure annulus A thatsurrounds a soft gel-like center, the nucleus N. Discs function likeshock-absorbing springs. The annulus pulls the vertebral bodies togetheragainst the elastic resistance of the gel-filled nucleus. When we bend,the nucleus acts like a ball bearing, allowing the vertebral bodies toroll over the incompressible gel. Each disc works in concert with twofacet joints, forming a spinal motion segment. The biomechanicalfunction of each pair of facet joints is to guide and limit the movementof the spinal motion segment. The surfaces of the joint are coated withcartilage that helps each joint move smoothly. Directly behind thediscs, the ring-like vertebral bodies create a vertical tunnel calledthe spinal canal or neuro canal. The spinal cord and spinal nerves passthrough the spinal canal, which protects them from injury. The spinalcord is the major column of nerve tissue that is connected to the brainand serves as an information super-highway between the brain and thebody. The nerves in the spinal cord branch off to form pairs of nerveroots that travel through the small openings between the vertebrae andthe intervertebral foramens.

Various medical conditions require a surgeon to repair, remove and/orreplace the aforementioned discs. For example, in one surgicalprocedure, known as a discectomy (or diskectomy) with interbody fusion,the surgeon removes the nucleus of the disc and replaces it with animplant. As shown in FIG. 2, it may be necessary, for example, for thesurgeon to remove the nucleus of the disc between the L3 and L4vertebrae. Disc D_(L3-L4) is shown in an enlarged view in FIG. 3. Thisfigure also shows various anatomical structures of the spine, includingfacets F3A and F4A, facet joint FJ, spinous processes SP3 (not shown)and SP4, transverse processes TP3A and TP4A, and intervertebral foramenIF. FIG. 4 is a top view of the section of the spinal column shown inFIG. 3, with the L3 vertebra removed to expose annulus A and nucleus Nof disc D_(L3-L4). Neural canal NC is also shown. FIG. 5 is an anteriorperspective view of the section of the spinal column shown in FIG. 4.FIG. 6 is a partial cross-sectional view of the section of the spinalcolumn shown in FIG. 5, taken generally along line 6-6, but withvertebra L3 in place atop disc D_(L3-L4).

One common tool used in these spinal surgical procedures is anendoscope. A representative endoscope 30 is shown in FIG. 7A. Endoscopesare complex biomedical devices. The complexity results from the need forfiberoptic bundles and multiple long narrow channels to be containedwithin a tubular structure that is constrained by the limited dimensionsof the body cavity opening. As shown in FIG. 7A, endoscope 30 broadlycomprises light guide connector 31, light guide tube 32, control body33, and insertion tube 34. As will be described infra, the inflatableabrading device of the embodiment is introduced into the disc space viainsertion tube 34. As shown in FIG. 7B, surgeon 40 uses the endoscopeboth to observe and guide the procedure via monitor 41, and to introduceand manipulate surgical instruments and tools during surgery on patient45.

The endoscope is only one element of the system. Other required elementsare a light source, video processor, monitor and water bottle. For thepurpose of describing an endoscope in this disclosure, we refer tovideoscopes, which represent a newer technology in endoscope developmentas compared to fiberoptic endoscopes. In videoscopes, the “viewing”fibre bundle is replaced by a miniature charged coupled device (CCD)video camera chip that transmits signals via wires.

Videoscopes include three major sections: connector 31 (sometimesreferred to as the “umbilical” section), control body 33 and insertiontube 34. Endoscopes require a watertight internal compartment integratedthrough all components for electrical wiring and controls, whichprotects them from exposure to patient secretions during use andfacilitates the endoscope being submerged for cleaning and subsequentdisinfection. Example embodiments are not intended to be limited to anyparticular type of endoscope.

Control body 33 provides connections for four systems: the electricalsystem, the light system, the air and water system, and the suctionsystem. A cable with video signal, light control, and remote switchingfrom the video processor is connected in the electrical system. Awatertight cap is required for leak testing and reprocessing. Theelectrical connector is the only opening to the internal components. Theconnector is inserted into the light source and directs light via thefiberoptic bundle in the light guide to the distal end of the insertiontube. Air pressure is provided from a pump to the air pipe, and thewater bottle is also connected here (there is no water channel or waterconnection for bronchoscopes). In some endoscope models, the separateair and water channels merge just prior to the distal end where theyexit through a single channel. In other models, the air and waterchannels are totally separate and do not merge. The air and waterchannels are usually of one millimeter internal diameter, which is toosmall for brushing. A portable or wall suction system is connected tothe suction port. The Universal cord encases the electrical wiring andair, water and suction channels from the connector to the controlsection. Teflon® (PTFE) tubing is commonly used for channels, andadvances in technology have led to more pliable and smooth materials forinstrument channels with better anti-adhesion properties. The suctionchannel size can vary from two to four millimeters internal diameterdepending on scope make and model. There is a biopsy port on the side ofthe insertion tube that allows instruments to be passed down theinsertion tube to the distal end (referred to as the instrument channelor biopsy/suction channel).

Control body 33 has moveable knobs that allow the physician to controlall scope functions. The angulation control knobs drive the angulationwires and control the bending section at the distal end of the insertiontube, thereby providing two-dimensional angulation. Locking mechanismsare provided to hold the bending section in a specific position. Thesuction cylinder and valve connects the suction channel to theinstrument channel in the insertion tube. By pressing the valve button,suction can be provided to the instrument channel. The air/watercylinder and valve are similar to the suction cylinder/valve except thata two-way button valve is used in a dual channel cylinder therebyproviding air or water to the lens at the distal end to wash andinsufflate for better vision. Both valves are removable for cleaning.The air and water channels also require a cleaning adapter valve that isto be used at the end of each procedure. Insertion of the cleaningadapter initiates air flow through both air and water channels, and onceactivated, water is pumped through both channels. The instrument channelport (often referred to as the “biopsy port”) is located on the lowerpart of the control section. It enters the instrument channel at aY-piece union with the suction channel. A valve is required to close theport so that suctioning may be facilitated. Remote switches present onthe top of the control section are usually programmable, allowingcontrol of the video processor (i.e., contrast, iris and image capturefunctions).

Of all animals possessing a backbone, human beings are the onlycreatures who remain upright for significant periods of time. From anevolutionary standpoint, this erect posture has conferred a number ofstrategic benefits, not the least of which is freeing the upper limbsfor purposes other than locomotion. From an anthropologic standpoint, itis also evident that this unique evolutionary adaptation is a relativelyrecent change, and as such has not benefited from natural selection asmuch as have backbones held in a horizontal attitude. As a result, thestresses acting upon the human backbone (or “vertebral column”), areunique in many senses, and result in a variety of problems or diseasestates that are peculiar to the human species.

The human vertebral column is essentially a tower of bones held uprightby fibrous bands called ligaments and contractile elements calledmuscles. There are seven bones in the neck or cervical region, twelve inthe chest or thoracic region, five in the lower back or lumbar region,and five in the pelvic or sacral region, which are normally fusedtogether to form the back part of the pelvis. This column of bones iscritical for providing structural support for the entire body.

Between the vertebral bones exist soft tissue structures, i.e., discs,composed of fibrous tissue and cartilage that are compressible and actas shock absorbers for sudden downward forces on the upright column. Thediscs allow the bones to move independently of each other, as well. Therepetitive forces which act on these intervertebral discs duringrepetitive activities of bending, lifting, and twisting cause them tobreak down or degenerate over time.

Presumably, because of humans' upright posture their intervertebraldiscs have a high propensity to degenerate. Overt trauma or coverttrauma, occurring in the course of repetitive activities,disproportionately affects the more highly mobile areas of the spine.Disruption of a disc's internal architecture leads to bulging,herniation, or protrusion of pieces of the disc and eventual disc spacecollapse. Resulting mechanical and even chemical irritation ofsurrounding neural elements (spinal cord and nerves) cause pain,attended by varying degrees of disability. In addition, loss of discspace height relaxes tension on the longitudinal spinal ligaments,thereby contributing to varying degrees of spinal instability such asspinal curvature. Asymmetric loss of disc space height with degenerationcauses adult degenerative scoliosis.

The time-honored method of addressing the issues of neural irritationand instability resulting from severe disc damage has largely focused onremoval of the damaged disc and fusing the adjacent vertebral elementstogether. Removal of the disc relieves the mechanical and chemicalirritation of neural elements, while osseous union (i.e., bone knitting)solves the problem of instability.

While cancellous bone appears ideal to provide the biologic componentsnecessary for osseous union to occur, it does not initially have thestrength to resist the tremendous forces that may occur in theintervertebral disc space, nor does it have the capacity to adequatelystabilize the spine until long term bony union occurs. For thesereasons, many spinal surgeons have found that interbody fusion usingbone alone has an unacceptably high rate of bone graft migration or evenexpulsion or nonunion due to structural failure of the bone or residualdegrees of motion that retard or prohibit bony union. Intervertebralprosthesis in various forms has therefore been used to provide immediatestability and to protect and preserve an environment that fosters growthof the grafted bone such that a structurally significant bony fusion canoccur.

SUMMARY

According to aspects illustrated herein, there is provided an expandableintervertebral implant, comprising an inferior component, including afirst plate, a second plate connected to the first plate and comprisinga first plurality of locking apertures, and a third plate connected tothe first plate and comprising a second plurality of locking apertures,a superior component slidingly engaged with the inferior component,including, a fourth plate, a fifth plate connected to the fourth plateand comprising a third locking aperture, and a sixth plate connected tothe fourth plate and comprising a fourth locking aperture, and a lockingpin assembly arranged at least partially in the third and fourth lockingapertures, and operatively arranged to engage the first and secondpluralities of locking apertures to lock the inferior component to thesuperior component.

According to aspects illustrated herein, there is provided an expandableintervertebral implant, comprising an inferior component including afirst plurality of locking apertures, a superior component telescopinglyengaged with the inferior component including a second plurality oflocking apertures, and a locking pin assembly operatively arranged toengage the first and second pluralities of locking apertures to lock thesuperior component to the inferior component.

According to aspects illustrated herein, there is provided an expandableintervertebral implant, comprising an inferior component, including afirst plate, a second plate connected to the first plate and comprisinga first plurality of locking apertures, and a third plate connected tothe first plate and comprising a second plurality of locking apertures,a superior component slidingly engaged with the inferior component,including a fourth plate, a fifth plate connected to the fourth plateand comprising a third locking aperture, and a sixth plate connected tothe fourth plate and comprising a fourth locking aperture, and a lockingpin assembly: arranged at least partially in the third and fourthlocking apertures, operatively arranged to engage the first and secondpluralities of locking apertures to lock the expandable intervertebralimplant, and comprising a shaft including a first end and a second end,a first spring arranged on the first end, a second spring arranged onthe second end, a first engaging member slidingly engaged with the firstend, and a second engaging member slidingly engaged with the second end.

These and other objects, features, and advantages of the presentdisclosure will become readily apparent upon a review of the followingdetailed description of the disclosure, in view of the drawings andappended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments are disclosed, by way of example only, withreference to the accompanying schematic drawings in which correspondingreference symbols indicate corresponding parts, in which:

FIG. 1 is an anterior perspective view of a spinal column;

FIG. 2 is an anterior perspective view of the lumbar section of thespinal column shown in FIG. 1;

FIG. 3 is a lateral perspective view of two vertebrae, a disc, andrelated spinal anatomy;

FIG. 4 is a top view of a section of the spinal column, taken generallyalong line 4-4 in FIG. 3;

FIG. 5 is an enlarged anterior perspective view of the spinal columnshown in FIG. 2, except with the top vertebra and all other structureabove the top vertebra removed;

FIG. 6 is a partial cross-sectional view of the top and bottom vertebraeand disc, taken generally along line 6-6 in FIG. 5;

FIG. 7A is a view of a typical endoscope;

FIG. 7B illustrates use of the endoscope shown in FIG. 7A by a surgeonperforming a discectomy (diskectomy);

FIG. 8 is a top perspective view of an expandable intervertebralimplant, in a collapsed state;

FIG. 9 is an exploded view of the expandable intervertebral implantshown in FIG. 8;

FIG. 10A is a cross-sectional view of the expandable intervertebralimplant shown in FIG. 8 taken generally along line 10-10;

FIG. 10B is cross-sectional view of the expandable intervertebralimplant shown in FIG. 10A in a partially expanded state;

FIG. 10C is cross-sectional view of the expandable intervertebralimplant shown in FIG. 10A in a partially expanded state;

FIG. 10D is cross-sectional view of the expandable intervertebralimplant shown in FIG. 10A in a fully expanded state;

FIG. 11 is a top perspective view of an expandable intervertebralimplant;

FIG. 12 is a cross-sectional view of the expandable intervertebralimplant shown in FIG. 11 taken generally along line 12-12;

FIG. 13 is a cross-sectional view of the expandable intervertebralimplant shown in FIG. 12 taken generally of detail 13;

FIG. 14 is a top perspective view of an expandable intervertebralimplant; and,

FIG. 15 is an anterior perspective view of a spinal column including theexpandable intervertebral implant shown in FIG. 8.

DETAILED DESCRIPTION

At the outset, it should be appreciated that like drawing numbers ondifferent drawing views identify identical, or functionally similar,structural elements. It is to be understood that the claims are notlimited to the disclosed aspects.

Furthermore, it is understood that this disclosure is not limited to theparticular methodology, materials and modifications described and assuch may, of course, vary. It is also understood that the terminologyused herein is for the purpose of describing particular aspects only,and is not intended to limit the scope of the claims.

Unless defined otherwise, all technical and scientific terms used hereinhave the same meaning as commonly understood to one of ordinary skill inthe art to which this disclosure pertains. It should be understood thatany methods, devices or materials similar or equivalent to thosedescribed herein can be used in the practice or testing of the exampleembodiments.

It should be appreciated that the term “substantially” is synonymouswith terms such as “nearly,” “very nearly,” “about,” “approximately,”“around,” “bordering on,” “close to,” “essentially,” “in theneighborhood of,” “in the vicinity of,” etc., and such terms may be usedinterchangeably as appearing in the specification and claims. It shouldbe appreciated that the term “proximate” is synonymous with terms suchas “nearby,” “close,” “adjacent,” “neighboring,” “immediate,”“adjoining,” etc., and such terms may be used interchangeably asappearing in the specification and claims. The term “approximately” isintended to mean values within ten percent of the specified value.

Adverting now to the figures, and as described previously, FIGS. 1-6depict various parts and sections of spinal anatomy, and FIGS. 7A and 7Bdepict a typical endoscope for use by a surgeon on a patient.

FIG. 8 is a top perspective view of expandable intervertebral implant110, in a collapsed state. FIG. 9 is an exploded view of expandableintervertebral implant 110. Expandable intervertebral implant 110generally comprises inferior component 120, superior component 140, andlocking pin assembly 160.

Inferior component 120 comprises plate 122, plate 124, and plate 126.Plate 122 is arranged to at least partially abut against a vertebra andcomprises aperture 132.

Plate 124 is connected and arranged substantially perpendicular to plate122. Plate 124 comprises surface 124A, end 128, aperture 134, and aplurality of locking apertures 125A-C. End 128 is directed away fromplate 122. Aperture 134 extends completely through plate 124. In theembodiment shown, locking apertures 125A-C extend completely throughplate 124 and are preferably arranged along a substantially verticallinear line. In an example embodiment, locking apertures 125A-C mayextend partially through plate 124 from surface 124A. It should beappreciated that plate 124 may comprise any number of locking aperturesin any arrangement suitable for expanding expandable intervertebralimplant 110 to a desired a length between adjacent vertebrae. In theembodiment shown, locking apertures 125A-C comprise a square-shapedgeometry. However, it should be appreciated that locking apertures125A-C may comprise any suitable geometric shape (e.g., circular,ovular, triangular, trapezoidal, etc.) such that superior component 140may be locked with inferior component 120 at a desired length usinglocking pin assembly 160. As shown in FIG. 8, plate 124 may furthercomprise flanges 90 and 92 extending from surface 124A. Flanges 90 and92 provide a track for superior component 140 as will be discussed ingreater detail below. In an example embodiment, plate 124 does notcomprise flanges 90 and 92. In an example embodiment, plate 124 iscurvilinear such that when implant 110 is expanded/contracted, inferiorcomponent 120 and superior component 140 move in a non-linear path.

Plate 126 is connected and arranged substantially perpendicular to plate122. Plate 126 comprises surface 126A, end 130, aperture 136, and aplurality of locking apertures 127A-C. End 130 is directed away fromplate 122. Surfaces 124A and 126A are directed toward each other.Aperture 136 extends completely through plate 126. In the embodimentshown, locking apertures 127A-C extend completely through plate 126 andare preferably arranged along a substantially vertical linear line. Inan example embodiment, locking apertures 127A-C may extend partiallythrough plate 126 from surface 126A. It should be appreciated that plate126 may comprise any number of locking apertures in any arrangementsuitable for expanding expandable intervertebral implant 110 to adesired a length between adjacent vertebrae. Moreover, locking apertures125A-C are axially aligned with locking apertures 127A-C. In an exampleembodiment, locking apertures 125A-C are not aligned with lockingapertures 127A-C. In the embodiment shown, locking apertures 127A-Ccomprise a square-shaped geometry. However, it should be appreciatedthat locking apertures 127A-C may comprise any suitable geometric shape(e.g., circular, ovular, triangular, trapezoidal, etc.) such thatsuperior component 140 may be locked with inferior component 120 at adesired length using locking pin assembly 160. As shown in FIG. 8, plate126 may further comprise flanges 94 and 96 extending from surface 126A.Flanges 94 and 96 provide a track for superior component 140 as will bediscussed in greater detail below. In an example embodiment, plate 126does not comprise flanges 94 and 96. In an example embodiment, plate 126is curvilinear such that when implant 110 is expanded/contracted,inferior component 120 and superior component 140 move in a non-linearpath.

Superior component 140 comprises plate 142, plate 144, and plate 146.Plate 142 is arranged to at least partially abut against a vertebra andcomprises aperture 152.

Plate 144 is connected and arranged substantially perpendicular to plate142. Plate 144 comprises surface 144A, end 148, edges 80 and 82,aperture 154, and locking aperture 145. End 148 is directed away fromplate 142. Aperture 154 extends completely through plate 144. Lockingaperture 145 extends completely through plate 144. When assembled,locking aperture 145 is arranged to align with any of locking apertures125A-C. In the embodiment shown, locking aperture 145 comprises asquare-shaped geometry. However, it should be appreciated that lockingaperture 145 may comprise any suitable geometric shape (e.g., circular,ovular, triangular, trapezoidal, etc.) such that superior component 140may be locked with inferior component 120 at a desired length usinglocking pin assembly 160. Plate 144 is arranged to slidingly engageplate 124. Specifically, edges 80 and 82 are at least partially enclosedby flanges 90 and 92, respectively, which maintains level expansion andretraction of expandable intervertebral implant 110. In an exampleembodiment, edges 80 and 82 at least partially abut against flanges 90and 92, respectively. In an example embodiment, plate 144 is curvilinearsuch that when implant 110 is expanded/contracted, inferior component120 and superior component 140 move in a non-linear path.

Plate 146 is connected and arranged substantially perpendicular to plate142. Plate 146 comprises surface 146A, end 150, edges 84 and 86,aperture 156, and locking aperture 147. End 150 is directed away fromplate 142. Surfaces 144A and 146A are directed away from each other.Aperture 156 extends completely through plate 146. Locking aperture 147extends completely through plate 146. When assembled, locking aperture147 is arranged to align with any of locking apertures 127A-C. In theembodiment shown, locking aperture 147 comprises a square-shapedgeometry. However, it should be appreciated that locking aperture 147may comprise any suitable geometric shape (e.g., circular, ovular,triangular, trapezoidal, etc.) such that superior component 140 may belocked with inferior component 120 at a desired length using locking pinassembly 160. Plate 146 is arranged to slidingly engage plate 126.Specifically, edges 84 and 86 are at least partially enclosed by flanges94 and 96, respectively, which maintains level expansion and retractionof expandable intervertebral implant 110. In an example embodiment,edges 84 and 86 at least partially abut against flanges 94 and 96,respectively. In an example embodiment, plate 146 is curvilinear suchthat when implant 110 is expanded/contracted, inferior component 120 andsuperior component 140 move in a non-linear path.

When inferior component 120 and superior component 140 are assembled,plates 144 and 146 are arranged axially between plates 124 and 126. Ends148 and 150 are directed toward plate 122 and ends 128 and 130 aredirected toward plate 142. Surface 144A is directed toward surface 124Aand surface 146A is directed toward surface 126A. Edges 80 and 82 arearranged proximate flanges 90 and 92, respectively, and edges 84 and 86are arranged proximate flanges 94 and 96, respectively. In an exampleembodiment, superior component 140 slidingly fits within inferiorcomponent 120. Plates 144 and 124 substantially abut such that surface144A slides against surface 124A and edges 80 and 82 slide againstflanges 90 and 92, respectively. Plates 146 and 126 substantially abutsuch that surface 146A slides against surface 126A and edges 84 and 86slide against flanges 94 and 96, respectively. In an example embodiment,plate 124 may further comprise flanges extending from surface 124A onone or both sides adjacent to end 128 (not shown). In an exampleembodiment, plate 126 may further comprise flanges extending fromsurface 126A on one or both sides adjacent to end 130 (not shown). Whenbone material is packed into expandable intervertebral implant 110,apertures (or openings) 132, 134, 136, 152, 154, and 156 are arranged toallow bony growth material around and within expandable intervertebralimplant 110. In an example embodiment, bony growth and permanentfixation may be achieved with hardenable materials such as bone putty ormethyl methylacrylate (MMA) as is known to those having ordinary skillin the art. In the embodiment shown, apertures 132, 134, 136, 152, 154,and 156 are circular or ovular. However, it should be appreciated thatapertures 132, 134, 136, 152, 154, and 156 may comprise any geometrysuitable for allowing bone material to create bony growth and fusion.

Locking pin assembly 160 generally comprises shaft 161, springs 172 and174, and engaging members 180 and 190. Shaft 161 comprises middleportion 162, end 164, end 166, flange 168, and flange 170. Flange 168 isarranged between end 164 and middle portion 162, and flange 170 isarranged between end 166 and middle portion 162. In the embodimentshown, middle portion 162 comprises a square-shaped cross-sectionalgeometry. However, it should be appreciated that middle portion 162 maycomprise any suitable geometric shape (e.g., circular, ovular,triangular, trapezoidal, etc.). Spring 172 is arranged around end 164and axially between flange 168 and flange 184. Spring 174 is arrangedaround end 166 and axially between flange 170 and flange 194.

Engaging member 180 comprises flange 184 and pin 182 extending axiallytherefrom. Aperture 186 extends through flange 184 and at leastpartially through pin 182. Pin 182 comprises beveled surface 182A. In anexample embodiment, pin 182 does not comprise a beveled surface. In theembodiment shown, pin 182 comprises a square-shaped cross-sectionalgeometry to match that of locking apertures 145 and 125A-C. However, itshould be appreciated that pin 182 may comprise any suitable geometricshape (e.g., circular, ovular, triangular, trapezoidal, etc.) such thatsuperior component 140 may be locked with inferior component 120 at adesired length using locking pin assembly 160. The geometries of pin 182and locking apertures 145 and 125A-C should match. End 164 is arrangedto slidingly engage aperture 186, and thus their geometries and sizesshould be designed accordingly.

Engaging member 190 comprises flange 194 and pin 192 extending axiallytherefrom. Aperture 196 (not shown) extends through flange 194 and atleast partially through pin 192. Pin 192 comprises beveled surface 192A.In an example embodiment, pin 192 does not comprise a beveled surface.In the embodiment shown, pin 192 comprises a square-shapedcross-sectional geometry to match that of locking apertures 147 and127A-C. However, it should be appreciated that pin 192 may comprise anysuitable geometric shape (e.g., circular, ovular, triangular,trapezoidal, etc.) such that superior component 140 may be locked withinferior component 120 at a desired length using locking pin assembly160. The geometries of pin 192 and locking apertures 147 and 127A-Cshould match. End 166 is arranged to slidingly engage aperture 196, andthus their geometries and sizes should be designed accordingly.

In the embodiment shown, flanges 168, 170, 184, and 194 comprises asquare-shaped cross-sectional geometry. However, it should beappreciated that flanges 168, 170, 184, and 194 may comprise anysuitable geometric shape (e.g., circular, ovular, triangular,trapezoidal, etc.). When expandable intervertebral implant 110 isassembled, a tool (not shown) is used to displace flanges 184 and 194axially inward (i.e., toward each other), thereby compressing springs172 and 174 and disengaging pins 182 and 192 from locking apertures125A-C and 127A-C, respectively. This allows superior component 140 tobe move relative to inferior component. To lock superior component 140with inferior component 120, the tool is used to displace flanges 184and 194 axially outward (i.e., away from each other), thereby engagingpins 182 and 192 with locking apertures 125A-C and 127A-C, respectively.This process is discussed in greater detail below with respect to FIGS.10A-D.

FIG. 10A is a cross-sectional view of expandable intervertebral implant110 taken generally along line 10-10 in FIG. 8. FIG. 10A showsexpandable intervertebral implant 110 in a collapsed state, whereinlocking pin assembly 160 is in a neutral position. When locking pinassembly 160 is in the neutral position (i.e., no force is asserted onflanges 184 or 194), springs 172 and 174 are arranged to position pins182 and 192 partially within locking apertures 125A-C and 127A-C,respectively. In the neutral position, superior component 140 may bedisplaced in direction D1 relative to inferior component 120, thusexpanding expandable intervertebral implant 110 but cannot be displacedin direction D2 relative to inferior component. This restricted movementis caused by beveled surfaces 182A and 192A, which act as a ratchetmechanism similar to that in a jack stand.

FIG. 10B is cross-sectional view of expandable intervertebral implant110 in a partially expanded state. FIG. 10B shows expandableintervertebral implant 110 in a partially expanded state, whereinlocking pin assembly 160 is in a compressed position. When superiorcomponent 140 is displaced in direction D1 relative to inferiorcomponent 120, beveled surfaces 182A and 192A cause pins 182 and 192 todisplace axially inward (i.e., toward each other) thereby disengagingpins 182 and 192 from locking apertures 125A-C and 127A-C, respectively.Alternatively, a tool could be used to engage flanges 184 and 194 anddisplace pins 182 and 192 axially inward. In this situation, pins 182and 192 would remain fully disengaged from locking apertures 125A-C and127A-C, respectively. The tool would be used to compress expandableintervertebral implant 110 such that superior component 140 moves indirection D2 relative to inferior component 120. It should beappreciated that the same tool may be used to engage flanges 184 and 194as discussed above and also expand expandable intervertebral implant110. In an example embodiment, two separate tools may be used, one toengage flanges 184 and 194 as discussed above and the other to expandexpandable intervertebral implant 110.

FIG. 10C is cross-sectional view of expandable intervertebral implant110 in a partially expanded state. FIG. 10C shows expandableintervertebral implant 110 in a partially expanded state, whereinlocking pin assembly 160 is in a locked position. When expandableintervertebral implant 110 is expanded to the desired length, pins 182and 192 are displaced axially outward (i.e., away from each other) toengage locking apertures 125A-C and 127A-C, respectively. In the lockedposition, beveled surfaces 182A and 192A are arranged completely on theaxially outer side of plates 124 and 126, respectively. This preventssuperior component 140 from displacing in directions D1 and D2 withrespect to inferior component 120. In an example embodiment, in thelocked position, flanges 184 and 194 abut against plates 144 and 146,respectively. Pins 182 and 192 can be moved to the locked position usingthe flange engaging tool discussed above or any other suitable method.It should be appreciated, that in an example embodiment, springs 172 and174 can be arranged to force pins 182 and 192 to the locked positionwhen aligned with locking apertures 125A-C and 127A-C, respectively.

FIG. 10D is cross-sectional view of expandable intervertebral implant110 in a fully expanded state. FIG. 10D shows expandable intervertebralimplant 110 in a fully expanded state, wherein locking pin assembly 160is in a locked position. When expandable intervertebral implant 110 isexpanded to the fully expanded length, pins 182 and 192 are displacedaxially outward (i.e., away from each other) to engage locking apertures125C and 127C, respectively. In the locked position, beveled surfaces182A and 192A are arranged completely on the axially outer side ofplates 124 and 126, respectively. This prevents superior component 140from displacing in directions D1 and D2 with respect to inferiorcomponent 120. In an example embodiment, in the locked position, flanges184 and 194 abut against plates 144 and 146, respectively. Pins 182 and192 can be moved to the locked position using the flange engaging tooldiscussed above or any other suitable method. It should be appreciated,that in an example embodiment, springs 172 and 174 can be arranged toforce pins 182 and 192 to the locked position when aligned with lockingapertures 125A-C and 127A-C, respectively.

FIG. 11 is a top perspective view of expandable intervertebral implant110. FIG. 12 is a cross-sectional view of the expandable intervertebralimplant 110 taken generally along line 12-12 in FIG. 11. FIG. 13 is across-sectional view of the expandable intervertebral implant 110 takengenerally of detail 13 in FIG. 12. In the embodiment shown, superiorcomponent 140 further comprises locking plates 112 and 118. Lockingplate 112 is rotatably secured to plate 144 using fastener 114. Fastener114 may be a screw, bolt, rivet, pin, or any other device suitably forrotatably connecting locking plate 112 to plate 144. Locking plate 112is arranged vertically above locking aperture 145 to rotate and axiallylock flange 184 against plate 144. Locking plate 116 is rotatablysecured to plate 146 using fastener 118. Fastener 118 may be a screw,bolt, rivet, pin, or any other device suitably for rotatably connectinglocking plate 116 to plate 146. Locking plate 116 is arranged verticallyabove locking aperture 147 to rotate and axially lock flange 194 againstplate 146. It should be appreciated that the present disclosure is notlimited to the use of a locking plate and that any suitable lockingmechanism or locking mechanisms may be used.

FIG. 14 is a top perspective view of expandable intervertebral implant110. In the embodiment shown, expandable intervertebral implant 110comprises an additional pin locking assembly 260. Thus, in addition tothe embodiment shown in FIG. 8, inferior component 120 further compriseslocking apertures 225A-C (not shown) and 227A-C. Superior component 140further comprises locking aperture 245 (not shown) and 247 (not shown).Locking pin assembly 260 is substantially the same as locking pinassembly 160 and engages locking apertures 225A-C, 227A-C, 245, and 247.

FIG. 15 is an anterior perspective view of a spinal column includingexpandable intervertebral implant 110. Expandable intervertebral implant110 is inserted into the spinal column between, for example, the L3 andL4 vertebrae, or where disc D_(L3-L4) should be. In an exampleembodiment, expandable intervertebral implant 110 may be secured to thevertebrae, for example, by fasteners such as screws, anchors, bolts,etc., or any other suitable fastening mechanism, including adhesives.Expandable intervertebral implant 110 is then vertically expanded untilthe desired height is reached. Specifically, superior component 140 isdisplaced vertically upward relative to inferior component 120 using anexpansion tool. When the desired length is acquired, the engagingmembers are locked in their respective locking apertures. Expandableintervertebral implant 110 is then filled with fusion material and leftin situ. It should be appreciated that expandable intervertebral implant110 can be adjusted to a suitable length prior to inserting expandableintervertebral implant 110 into the spinal column.

It will be appreciated that various aspects of the disclosure above andother features and functions, or alternatives thereof, may be desirablycombined into many other different systems or applications. Variouspresently unforeseen or unanticipated alternatives, modifications,variations, or improvements therein may be subsequently made by thoseskilled in the art which are also intended to be encompassed by thefollowing claims.

REFERENCE NUMERALS

-   10 Spinal column-   12 Ligament-   C1-C7 Cervical vertebrae-   T1-T12 Thoracic vertebrae-   L1-L5 Lumbar vertebrae-   S Sacrum-   C Coccyx-   D_(L1-L2) Disc-   D_(L2-L3) Disc-   D_(L3-L4) Disc-   D_(L4-L5) Disc-   F Facet-   FJ Facet joint-   SP Spinous process-   TP Transverse process-   IF Intervertebral foramen-   NC Neural canal-   A Annulus-   N Nucleus-   DH Disc space height-   30 Endoscope-   31 Light guide connector-   32 Light guide tube-   33 Control body-   34 Insertion tube-   40 Surgeon-   41 Monitor-   45 Patient-   80 Edge-   82 Edge-   84 Edge-   86 Edge-   90 Flange-   92 Flange-   94 Flange-   96 Flange-   110 Expandable intervertebral implant-   112 Locking plate-   114 Fastener-   116 Locking plate-   118 Fastener-   120 Inferior component-   122 Plate-   124 Plate-   124A Surface-   125A Locking aperture-   125B Locking aperture-   125C Locking aperture-   126 Plate-   126A Surface-   127A Locking aperture-   127B Locking aperture-   127C Locking aperture-   128 End-   130 End-   132 Aperture-   134 Aperture-   136 Aperture-   140 Superior component-   142 Plate-   144 Plate-   144A Surface-   145 Locking aperture-   146 Plate-   146A Surface-   147 Locking aperture-   148 End-   150 End-   152 Aperture-   154 Aperture-   156 Aperture-   160 Locking pin assembly-   161 Shaft-   162 Middle portion-   164 End-   166 End-   168 Flange-   170 Flange-   172 Spring-   174 Spring-   180 Engaging member-   182 Pin-   182A Beveled surface-   184 Flange-   186 Aperture-   190 Engaging member-   192 Pin-   192A Beveled surface-   194 Flange-   196 Aperture (not shown)-   225A Locking aperture (not shown)-   225B Locking aperture (not shown)-   225C Locking aperture (not shown)-   227A Locking aperture-   227B Locking aperture-   227C Locking aperture-   260 Locking pin assembly-   D1 Direction-   D2 Direction

What is claimed is:
 1. An expandable intervertebral implant, comprising:an inferior component, including: a first plate; a second plateconnected to the first plate and comprising a first plurality of lockingapertures; and, a third plate connected to the first plate andcomprising a second plurality of locking apertures; a superior componentslidingly engaged with the inferior component, including; a fourthplate; a fifth plate connected to the fourth plate and comprising athird locking aperture; and, a sixth plate connected to the fourth plateand comprising a fourth locking aperture; and, a locking pin assembly:arranged at least partially in the third and fourth locking apertures;and, operatively arranged to engage the first and second pluralities oflocking apertures to lock the inferior component to the superiorcomponent.
 2. The expandable intervertebral implant as recited in claim1, wherein: the second and third plates are arranged substantiallyperpendicular to the first plate; and, the fifth and sixth plates arearranged substantially perpendicular to the third plate.
 3. Theexpandable intervertebral implant as recited in claim 1, wherein: thesecond plate includes at least one first vertical flange; and, the thirdplate includes at least one second vertical flange.
 4. The expandableintervertebral implant as recited in claim 1, wherein the locking pinassembly comprises: a shaft including a first end and a second end; afirst spring arranged on the first end; a second spring arranged on thesecond end; a first engaging member slidingly engaged with the firstend; and, a second engaging member slidingly engaged with the secondend.
 5. The expandable intervertebral implant as recited in claim 4,wherein: the first engaging member is arranged in the third lockingaperture and is biased toward the first plurality of locking aperturesby the first spring; and, the second engaging member is arranged in thefourth locking aperture and is biased toward the second plurality oflocking apertures by the second spring.
 6. The expandable intervertebralimplant as recited in claim 5, wherein: the first engaging membercomprises a first flange engaged with the first spring and a first pinextending from the first flange; and, the second engaging membercomprises a second flange engaged with the second spring and a secondpin extending from the second flange.
 7. The expandable intervertebralimplant as recited in claim 6, wherein: the first pin includes a firstbeveled surface; and, the second pin includes a second beveled surface.8. The expandable intervertebral implant as recited in claim 7, whereinwhen the locking pin assembly is in a neutral state: the first beveledsurface is at least partially engaged with one of the first plurality oflocking apertures; the second beveled surface is at least partiallyengaged with one of the second plurality of locking apertures; and, thesuperior component is capable of being displaced in a first directionrelative to the inferior component.
 9. The expandable intervertebralimplant as recited in claim 8, wherein when the locking pin assembly isin a compressed state: the first beveled surface is not engaged with anyof the first plurality of locking apertures; the second beveled surfaceis not engaged with any of the second plurality of locking apertures;and, the superior component is capable of being displaced in the firstdirection and a second direction, opposite of the first direction,relative to the inferior component.
 10. The expandable intervertebralimplant as recited in claim 9, wherein when the locking pin assembly isin a locked state: the first pin is fully engaged with one of the firstplurality of locking apertures; the second pin is fully engaged with oneof the second plurality of locking apertures; and, the superiorcomponent is not capable of being displaced in the first direction orthe second direction relative to the inferior component.
 11. Theexpandable intervertebral implant as recited in claim 1, wherein thefirst and second pluralities of locking apertures extend completelythrough the second and third plates, respectively.
 12. The expandableintervertebral implant as recited in claim 1, wherein the first andsecond pluralities of locking apertures extend only partially throughthe second and third plates, respectively.
 13. The expandableintervertebral implant as recited in claim 1, wherein the inferiorcomponent further comprises one or more first openings and the superiorcomponent further comprises one or more second openings.
 14. Theexpandable intervertebral implant as recited in claim 1, wherein thesecond, third, fifth, and sixth plates are curvilinear such that thesuperior component can expand from the inferior component in acurvilinear direction.
 15. An expandable intervertebral implant,comprising: an inferior component including a first plurality of lockingapertures; a superior component telescopingly engaged with the inferiorcomponent including a second plurality of locking apertures; and, alocking pin assembly operatively arranged to engage the first and secondpluralities of locking apertures to lock the superior component to theinferior component.
 16. The expandable intervertebral implant as recitedin claim 15, wherein the locking pin assembly comprises: a shaftincluding a first end and a second end; a first spring arranged on thefirst end; a second spring arranged on the second end; a first engagingmember slidingly engaged with the first end; and, a second engagingmember slidingly engaged with the second end.
 17. The expandableintervertebral implant as recited in claim 15, wherein the locking pinassembly is arranged at least partially in the second plurality oflocking apertures.
 18. The expandable intervertebral implant as recitedin claim 15, wherein the inferior component comprises: a first plate; asecond plate connected to the first plate; and, a third plate connectedto the first plate, wherein at least one of the second plate and thethird plate comprise the first plurality of locking apertures.
 19. Theexpandable intervertebral implant as recited in claim 18, wherein thesuperior component comprises: a fourth plate; a fifth plate connected tothe fourth plate; and, a sixth plate connected to the fourth plate,wherein at least one of the fifth plate and the sixth plate comprise thesecond plurality of locking apertures, the second plurality of lockingapertures operatively arranged to align with the first plurality oflocking apertures.
 20. An expandable intervertebral implant, comprising:an inferior component, including: a first plate; a second plateconnected to the first plate and comprising a first plurality of lockingapertures; and, a third plate connected to the first plate andcomprising a second plurality of locking apertures; a superior componentslidingly engaged with the inferior component, including; a fourthplate; a fifth plate connected to the fourth plate and comprising athird locking aperture; and, a sixth plate connected to the fourth plateand comprising a fourth locking aperture; and, a locking pin assembly:arranged at least partially in the third and fourth locking apertures;operatively arranged to engage the first and second pluralities oflocking apertures to lock the expandable intervertebral implant; and,comprising: a shaft including a first end and a second end; a firstspring arranged on the first end; a second spring arranged on the secondend; a first engaging member slidingly engaged with the first end; and,a second engaging member slidingly engaged with the second end.